HPV Vaccination Activities
Elizabeth Sobczyk, MSW, MPH
Manager, Immunization Initiatives
American Academy of Pediatrics
AAP Mission
The mission of the AAP is to
attain optimal physical, mental and
social health and well-being for ALL infants,
children, adolescents and young adults.
To accomplish this mission, the Academy
shall support the professional needs
of its members.
HPV Recommendations
• Published in February 2012
• Align with CDC recommendations
Implementation of Recommendations
• Implementation Guidance
• Periodic Survey of Fellows
• Increasing Adolescent Immunization through Pediatric
Partnerships
• Building Capacity of the Public Health System to
Improve Population Health through National Non-profit
Organizations (HPV focus)
– Also known as the HPV umbrella agreement
Implementation Guidance
• Accompanies the policy statement
• Addresses
–
–
–
–
–
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Supply
Liability and Risk Communication
Risk Management
Payment
Coding
Patient Education
http://www2.aap.org/immunization/illnesses/hpv/HPVImple
mentationGuidance.pdf
Periodic Survey of Fellows
• PS#84 was an eight-page self-administered
questionnaire sent to 1622 nonretired U.S. members of
the AAP from October 2012 to March 2013.
• Analysis is limited to those pediatricians who provide
patient care and offer age appropriate immunizations to
all or some patients in their practice (627 pediatricians).
• Parental refusal was reported as a major barrier to
delivering HPV vaccine.* Lack of adolescent well visits
was also a barrier.
*Pediatricians say that parents are the barrier, parents say that
pediatricians are the barrier.
Increasing Adolescent Immunization
Through Pediatric Partnerships
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•
•
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Cooperative agreement with the CDC
September 1, 2012 – August 30, 2015
Consultants: Humiston, Rand, Schaffer, Szilagyi
Objectives
1. Educate pediatricians about the need for a strong
recommendation to parents for on-time adolescent
immunizations (AI) to increase AI rates.
2. Implement quality improvement (QI) activities to reduce missed
opportunities to vaccinate adolescents in the office setting.
3. Raise parental awareness of adolescent vaccines in order to
increase visits to the medical home and opportunities for AI.
4. Increase use of tools available to create practice changes in AI.
Increasing Adolescent Immunization
Through Pediatric Partnerships
• CME: Creating online courses through Pedialink, one on
giving a strong provider recommendation using CDC
materials, one on office strategies for increasing rates
(go live July 2014)
• QI: EQIPP module that counts for Part IV Maintenance
of Certification, added adolescent and HPV-specific
content, being piloted but is available
• Residents: Video contests, risk communication
curriculum/case studies
• Office materials: training guide, talking to your teens,
talking to your parents
Increasing Adolescent Immunization
Through Pediatric Partnerships
• http://www2.aap.org/immunization/pediatricians/adolesce
nts.html
HPV Umbrella Agreement:
Background
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•
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Cooperative agreement with the CDC
September 23, 2013 – June 30, 2014
Consultant: Humiston
Goal: Work in collaboration with the CDC to build the
capacity of pediatricians to increase coverage of HPV
vaccination and to improve quality, availability, and
accessibility of public health education materials,
training, and evaluation tools and resources related to
HPV vaccination.
HPV Umbrella Agreement:
Objectives 1 and 2
Support AAP Chapter “HPV Action Plans”
• In November 2013, a call for proposals was issued to
AAP Chapters, requesting participation in a variety of
HPV vaccination activities. Thus far, 47 chapters in 43
states have submitted applications.
Disseminate Existing HPV Vaccination Promotion Materials
• Discussions have focused on what materials exist and
what is needed. A continuing medical education course
will be available in February from the CDC. Videos and
print materials are already available, though statespecific videos may be created. A flip chart to aid
practice-level discussions will be developed.
CT-57.6
DE- 67.2
DC- 57.8
MD- 42.7
HPV rate is % vaccinated
with > 1 dose for females
64.5
55.1
MA- 69.3
NH- 52.2
NJ- 54.6
RI- 73.7
VT- 66.4
61.7
60.3
59.4
58.5
50.5
51.0
51.3
53.9
67.5
62.5
44.3
65
42.7
48.1
57.4
57.5
56.4
41.2
61.4
56.0
48.4
51.6
45.2 50.9
51.2
53.3
54.3
56.1
54.3
51.1
55.1
41.9
41.2
46.6
52.3
39.7
51.2
62.1
39.4
64.6
-IZ Congress
-Host a speaker
-QI Activity
-CDC funding
-Train the trainer
-Webinar
-Materials
-No application
HPV Umbrella Agreement
Objective 3
Use of Social Media to Promote HPV Vaccination to
Pediatricians and Parents.
• Planned for Spring 2014
HPV Umbrella Agreement:
Objective 4
Use the AAP Healthy Children Expo (2014) to Promote
HPV Vaccination to Parents.
• Program staff plan to exhibit at the Expo, which is the
AAP’s first direct in-person education of parents. The
conference aims to attract 5,000 families in the Chicagoland area and be repeated in other regions in future
years. Booth space was requested and an exhibit is
being designed with CDC materials. In addition, staff are
working with the presenter of a session on adolescent
immunization to include CDC messages on HPV
vaccine.
AAP Chapters
• Chapters are independently incorporated from the AAP;
however, we do provide guidance and funding on many
issues.
• Chapter Executive Director contact information can be
found at
http://www2.aap.org/member/chapters/chaplist.cfm.
• Or contact me at esobczyk@aap.org to find out more
about what is happening in your area.
Questions?
• esobczyk@aap.org or 847/434-4271